Susan Deborah Konkle, PTA

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

530-019 Issued in WI

Practice address

1335 S Oneida St
Appleton, WI 54915-1351

Phone

(920) 731-6646

NPI assigned

Jun 26, 2013

Last updated

Oct 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oasis Therapy Services LLC

  • Multi-Specialty Clinic/Center
  • Oshkosh, WI
  • NPI 1386381598

  Geriatrics

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1619317468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151351",
            "telephone_number": "920-731-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151351",
            "telephone_number": "920-731-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONKLE",
        "first_name": "SUSAN",
        "middle_name": "DEBORAH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WI",
            "license": "530-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Anne Kokko, MS CCC-SLP
• Timothy James Koll, D.D.S.
• Celine A Konetzke, SAC-IT
• Trevor Konetzke, SAC-IT
• Elizabeth A Konkel
• Kenneth E Konopka, DDS
• Kayla Kons, LMT
• Karen R Konz, DO
• Andrew G Koopman
• Hudson Bernard Kopp

• Geriatric Physical Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Geriatric Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.